|
Revise eyelid lining
|
$248.82 |
$248.82 |
$248.82 |
$3,482.06
|
|
Revise eyelid lining
|
$396.00 |
$396.00 |
$396.00 |
$3,269.14
|
|
Revise eye muscle
|
$276.54 |
$276.54 |
$276.54 |
$3,566.44
|
|
Revise eye muscle
|
$308.22 |
$308.22 |
$308.22 |
$3,758.84
|
|
Revise eye muscle add-on
|
$177.10 |
$177.10 |
$177.10 |
$1,934.00
|
|
Revise eye muscle(s)
|
$416.24 |
$416.24 |
$416.24 |
$3,269.14
|
|
Revise eye muscle(s) add-on
|
$147.62 |
$147.62 |
$147.62 |
$2,199.19
|
|
Revise eye muscle w/suture
|
$138.16 |
$138.16 |
$138.16 |
$1,507.20
|
|
Revise eye socket implant
|
$662.64 |
$662.64 |
$662.64 |
$5,008.35
|
|
Revise eye sockets
|
$839.74 |
$839.74 |
$839.74 |
$6,966.64
|
|
Revise eye sockets
|
$1,490.28 |
$1,490.28 |
$1,490.28 |
$6,966.64
|
|
Revise eye sockets
|
$1,377.64 |
$1,377.64 |
$1,377.64 |
$6,966.64
|
|
Revise eye sockets
|
$981.64 |
$981.64 |
$981.64 |
$7,000.36
|
|
Revise eye sockets
|
$1,233.54 |
$1,233.54 |
$1,233.54 |
$6,048.05
|
|
Revise eye with implant
|
$438.68 |
$438.68 |
$438.68 |
$4,173.97
|
|
Revise finger joint each
|
$348.70 |
$348.70 |
$348.70 |
$3,839.54
|
|
Revise finger joint each
|
$319.44 |
$319.44 |
$319.44 |
$2,211.05
|
|
Revise gastric port open 43886
|
$228.58 |
$228.58 |
$228.58 |
$4,055.70
|
|
Revise/graft eyelid lining
|
$326.92 |
$326.92 |
$326.92 |
$3,628.80
|
|
Revise/graft eyelid lining
|
$396.88 |
$396.88 |
$396.88 |
$4,627.00
|
|
Revise/graft eyelid lining
|
$389.84 |
$389.84 |
$389.84 |
$4,462.45
|
|
Revise/graft eyelid lining
|
$426.14 |
$426.14 |
$426.14 |
$3,510.40
|
|
Revise/graft eyelid lining
|
$391.16 |
$391.16 |
$391.16 |
$4,462.45
|
|
Revise graft w/vein
|
$558.36 |
$558.36 |
$558.36 |
$5,110.00
|
|
Revise graft w/vein 35881
|
$619.52 |
$619.52 |
$619.52 |
$5,339.00
|
|
Revise hand/finger tendon
|
$537.90 |
$537.90 |
$537.90 |
$7,807.24
|
|
Revise head/neck of femur
|
$608.74 |
$608.74 |
$608.74 |
$8,453.60
|
|
Revise hernia & sperm veins
|
$345.62 |
$345.62 |
$345.62 |
$4,176.15
|
|
Revise hip joint replacement
|
$1,176.34 |
$1,176.34 |
$1,176.34 |
$8,659.95
|
|
Revise hip joint replacement
|
$942.04 |
$942.04 |
$942.04 |
$7,536.00
|
|
Revise hip joint replacement
|
$906.84 |
$906.84 |
$906.84 |
$6,492.20
|
|
Revise/implant finger joint
|
$457.82 |
$457.82 |
$457.82 |
$5,376.00
|
|
Revise kneecap
|
$413.60 |
$413.60 |
$413.60 |
$7,700.67
|
|
Revise kneecap with implant
|
$524.48 |
$524.48 |
$524.48 |
$10,629.07
|
|
Revise knuckle joint
|
$341.44 |
$341.44 |
$341.44 |
$5,023.20
|
|
Revise knuckle with implant
|
$397.32 |
$397.32 |
$397.32 |
$6,511.82
|
|
Revise low back nerve(s)
|
$477.40 |
$477.40 |
$477.40 |
$3,603.20
|
|
Revise lower leg tendon
|
$399.08 |
$399.08 |
$399.08 |
$4,627.00
|
|
Revise lower leg tendon
|
$463.32 |
$463.32 |
$463.32 |
$5,339.00
|
|
Revise lower leg tendons
|
$331.32 |
$331.32 |
$331.32 |
$3,839.54
|
|
Revise middle ear bone
|
$564.08 |
$564.08 |
$564.08 |
$6,680.76
|
|
Revise middle ear bone
|
$735.02 |
$735.02 |
$735.02 |
$6,465.11
|
|
Revise middle ear bone
|
$703.12 |
$703.12 |
$703.12 |
$6,373.79
|
|
Revise middle ear & mastoid
|
$634.26 |
$634.26 |
$634.26 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$814.22 |
$814.22 |
$814.22 |
$6,560.00
|
|
Revise middle ear & mastoid
|
$744.92 |
$744.92 |
$744.92 |
$6,547.81
|
|
Revise middle ear & mastoid
|
$918.72 |
$918.72 |
$918.72 |
$7,000.36
|
|
Revise middle ear & mastoid
|
$954.58 |
$954.58 |
$954.58 |
$7,000.36
|
|
Revise middle ear & mastoid 69645
|
$901.56 |
$901.56 |
$901.56 |
$7,000.36
|
|
Revise ocular implant
|
$178.42 |
$178.42 |
$178.42 |
$2,760.73
|
|
Revise ocular implant
|
$417.12 |
$417.12 |
$417.12 |
$4,462.45
|
|
Revise ovarian tube(s)
|
$560.34 |
$560.34 |
$560.34 |
$1,177.75
|
|
Revise palsy hand tendon(s)
|
$480.70 |
$480.70 |
$480.70 |
$7,907.11
|
|
Revise palsy hand tendon(s)
|
$571.12 |
$571.12 |
$571.12 |
$8,453.60
|
|
Revise penis/urethra
|
$577.94 |
$577.94 |
$577.94 |
$4,478.01
|
|
Revise penis/urethra
|
$623.48 |
$623.48 |
$623.48 |
$4,478.01
|
|
Revise penis/urethra
|
$732.38 |
$732.38 |
$732.38 |
$4,478.01
|
|
Revise prosth vag graft lap
|
$538.78 |
$538.78 |
$538.78 |
$8,185.02
|
|
Revise radius or ulna
|
$630.52 |
$630.52 |
$630.52 |
$4,499.12
|
|
Revise radius & ulna
|
$571.34 |
$571.34 |
$571.34 |
$10,629.07
|
|
Revise radius & ulna
|
$594.22 |
$594.22 |
$594.22 |
$4,692.80
|
|
Revise reconst elbow joint
|
$952.60 |
$952.60 |
$952.60 |
$14,061.89
|
|
Revise reconst elbow joint
|
$1,092.74 |
$1,092.74 |
$1,092.74 |
$14,873.09
|
|
Revise/remove neuroelectrode
|
$368.50 |
$368.50 |
$368.50 |
$4,069.59
|
|
Revise/remove neuroreceiver
|
$248.38 |
$248.38 |
$248.38 |
$9,079.85
|
|
Revise/remove sling repair
|
$456.50 |
$456.50 |
$456.50 |
$3,744.41
|
|
Revise & repair chest wall
|
$1,003.42 |
$1,003.42 |
$1,003.42 |
$4,015.20
|
|
Revise/repair chest wall 32905
|
$814.22 |
$814.22 |
$814.22 |
$3,250.40
|
|
Revise/replace knee joint
|
$870.32 |
$870.32 |
$870.32 |
$5,491.20
|
|
Revise/replace knee joint
|
$1,083.94 |
$1,083.94 |
$1,083.94 |
$7,048.60
|
|
Revise/repl vagus n eltrd
|
$482.68 |
$482.68 |
$482.68 |
$13,628.55
|
|
Revise spermatic cord veins
|
$218.90 |
$218.90 |
$218.90 |
$4,345.52
|
|
Revise spermatic cord veins
|
$267.30 |
$267.30 |
$267.30 |
$7,149.07
|
|
Revise spinal cord vsls crvl
|
$1,844.04 |
$1,844.04 |
$1,844.04 |
$6,965.60
|
|
Revise spinal cord vsls thrc
|
$1,885.18 |
$1,885.18 |
$1,885.18 |
$4,548.69
|
|
Revise spine cord vsl thrlmb
|
$1,884.96 |
$1,884.96 |
$1,884.96 |
$4,547.78
|
|
Revise spine eltrd perq aray
|
$278.74 |
$278.74 |
$278.74 |
$7,766.27
|
|
Revise spine eltrd plate
|
$553.96 |
$553.96 |
$553.96 |
$14,756.87
|
|
Revise stomach bowel fusion 43860
|
$1,011.78 |
$1,011.78 |
$1,011.78 |
$3,110.40
|
|
Revise thigh muscles/tendons
|
$435.60 |
$435.60 |
$435.60 |
$7,907.11
|
|
Revise thumb tendon
|
$514.80 |
$514.80 |
$514.80 |
$3,594.44
|
|
Revise thumb tendon
|
$556.16 |
$556.16 |
$556.16 |
$3,591.33
|
|
Revise two eye muscles
|
$402.82 |
$402.82 |
$402.82 |
$4,462.45
|
|
Revise two eye muscles
|
$430.32 |
$430.32 |
$430.32 |
$4,000.00
|
|
Revise ulnar nerve at wrist
|
$255.20 |
$255.20 |
$255.20 |
$3,151.20
|
|
Revise ureter
|
$316.14 |
$316.14 |
$316.14 |
$4,081.37
|
|
Revise ureter
|
$433.40 |
$433.40 |
$433.40 |
$917.58
|
|
Revise urethra stage 1
|
$495.44 |
$495.44 |
$495.44 |
$5,882.50
|
|
Revise urethra stage 2
|
$539.44 |
$539.44 |
$539.44 |
$5,645.75
|
|
Revise urine flow
|
$1,107.04 |
$1,107.04 |
$1,107.04 |
$2,322.51
|
|
Revise vag graft open abd
|
$591.80 |
$591.80 |
$591.80 |
$2,372.80
|
|
Revise vag graft via vagina
|
$309.76 |
$309.76 |
$309.76 |
$3,762.53
|
|
Revise windpipe scar
|
$226.16 |
$226.16 |
$226.16 |
$3,837.72
|
|
Revise wrist/forearm tendon
|
$355.74 |
$355.74 |
$355.74 |
$3,017.99
|
|
Revise wrist joint
|
$528.22 |
$528.22 |
$528.22 |
$4,155.20
|
|
Revision gastrojejunal anastomosis w/reconstruct-43865
|
$1,056.22 |
$1,056.22 |
$1,056.22 |
$4,189.60
|
|
Revision of amputation
|
$755.04 |
$755.04 |
$755.04 |
$8,412.89
|
|
Revision of ankle joint
|
$444.62 |
$444.62 |
$444.62 |
$8,412.89
|
|
Revision of aqueous shunt
|
$477.62 |
$477.62 |
$477.62 |
$3,173.34
|
|
Revision of arm nerve(s)
|
$497.86 |
$497.86 |
$497.86 |
$3,833.60
|